Browsing by Author "Arslan, Suekrue"

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Pseudo-bartter's Syndrome Associated With Cystic Fibrosis
(Nobel Ilac, 2009) Akgun, Cihangir; Basaranoglu, Murat; Yuca, Sevil Ari; Akbayram, Sinan; Arslan, Suekrue; Kirimi, Ercan
Cystic fibrosis is an autosomal recessive inherited generalized disorder of exocrine gland function that results in abnormal mucus production. There is a tendency in infants with cystic fibrosis to develop episodes of hyponatremic, hypochloremic dehydration with metabolic alkalosis and elevated plasma renin and aldosterone levels which are the biochemical picture of the pseudo-Bartter's syndrome, Here in, we report a 48 day old boy with Pseudo-Bartter's syndrome associated with cystic fibrosis and we emphasized the importance of the salt supplementation in these patients.
The Retrospective Evaluation of The Urinary Tract Infection Cases in Van Region
(Nobel Ilac, 2009) Akgun, Cihangir; Kaya, Avni; Atas, Buelent; Sal, Ertan; Tuncer, Oguz; Arslan, Suekrue
Objective: The aim of this study was to obtain the agent pathogens and the etiologic factors of the 1,490 cases that are followed with the diagnosis of urinary tract infection by Van Yuzuncu Yil University, School of Medicine, Department of Pediatric Nephrology. Material and Method: A patient group of the last 8 years who were followed due to the urinary tract infection in out, hospital was examined. This patient group was chosen by file research. 1,490 children were included to the study, age between I day and 204 months. Results: With the evaluation of the factors and distribution of the urinary tract infection, 2897 urinary culture positive cases were obtained. The urinary tract infection etiologic factors in order of frequency were as follows: Escherichia coli, Klebsiella spp, Proteus spp, koagulase negative Stafilococcus spp, Enterobacter spp, Staphilococcusaureus, Pseu-domonas aeruginosa, Enterococcus spp and others. Together with the urinary tract infection gastroenteritis, malnutrition, phimosis, bladder dysfunction, mental-motor deficiency, urinary system stone disease, enuresis nocturna, hyper-calciuria, constipation, neurogenic bladder, febrile convulsion, prolonged jaundice were remarkable. It was seen that 14.3% of the patients had recurrent infection. In our study, it was seen that the females were more than the males, except the newborn period. The females were not 3-5 times more and the ratio was only 1.34 times. The gram negative bacterias which are parallel to the literature were detected at the all age groups. When this study is compared by the similar studies according to vesicouretheral reflux, 11 and III degree vesicouretheral reflux detecting ratios were similar but the first degree vesicouretheral reflux ratio was less. The scar ratio detected at the kidney was nearly similar to the literature but the ratio was more at our cases. Chronic renal failure ratio is 0.07-0.2% at the patients who had the urinary tract infection. In out, cases, chronic renal failure was detected 1.7% (26 patients). This high ratio shows that the chronic renal failure due to the urinary tract infection is a serious morbidity and mortality cause. Conclusion: This study shows that it is needed to make new studies about the urinary tract infection at the low social and low economic regions of Turkey.
Urinary Calcium Excretion in City of Van in Healthy Children
(Nobel Ilac, 2010) Akgun, Cihangir; Sal, Ertan; Akgul, Necip; Kaya, Avni; Akbayram, Sinan; Acikgoz, Mehmet; Arslan, Suekrue
Objective: Spot urine calcium/creatinin ratio (UCa/Cr) is a simple, cheap and a reliable test that is commonly used to estimate calcium excretion in urine. Recent studies have shown that the UCa/Cr ratio depends on the age and the geographic area. The aim of our study is to evaluate urinal)/sodium/Creatinin (UNa/Cr), urinary potassium/Creatinin (UK/Cr) and urinary sodium/potassium (UNa/K) levels in children of age 0-16 years and to establish reference limits of hypercalciuria that can be used for UCa/Cr as a reference for healthy children in Van. Material and Method: 518 healthy children [247 (47.6%) girls and 271 (52.4%) boys], ageing 0-16 years living in the city of Van were included in the study. They were divided into 6 groups as in the follows: 0-.30 days 60 children, 31-90 days 54 children, 91 days-6 months 60 children, 7-18 months 101 children, 18 months-6 years 123 children and 7-16 years 120 children. There were no meaningful differences between gender. Results: Overall UCa/Cr rate and 95 percentile values are decreased with age and its being stabile after 18 months. Evaluating all children, the data showed a strong positive correlation between UCa/Cr and UNa/Cr, UNa/K (P<0.0001), and a strong negative correlation between UK/Cr and UNa/K (P<0.0001). It is determined that there is no correlation between UCa/Cr and UK/Cr for children under 18 months, but there is a negative correlation between UCa/Cr and UK/Cr for children over 18 months (P=0.036). Conclusion: The UCa/Cr ratio in this region was found higher than the values of the previous studies and it was shown that the UCa/Cr ratio had inverse relationship with age. This demonstrates the importance of our region geographically. Therefore UCa/Cr ratio of the reference values should be determined for each region.